NPIMap

Individual provider Active NPI

J Karl Kemberling, M.D., F.A.C.S.

  • Urology Physician
  • Edina, MN
National Provider Identifier
1518997840
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
45758 Issued in MN
Practice address
7500 France Ave S
Edina, MN 55435-3400
Phone
(952) 927-6501
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 45758 MN Primary

Addresses

Primary practice location

7500 France Ave S
Edina, MN 55435-3400

Mailing address

7500 France Ave S
Edina, MN 55435-3400
Phone (952) 927-6501

Other identifiers 2

IdentifierTypeStateIssuer
916481200MedicaidMN
34426200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000584 MN Practitioner - Urology 5890771398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Wright State University Boonshoft School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Urology, PAGroup PAC ID 0840183984, 83 clinicians

Practice addresses (Care Compare)

3366 Oakdale Ave N
Suite 303
Robbinsdale, MN 55422-2966
Phone (763) 520-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as individual
Quality
74.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45758MNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Aug 1, 2015 Accepting new patients
Allina Health System CurrentSince Aug 1, 2015 Accepting new patients
Minnesota Urology, PA Urology CurrentSince Mar 5, 2018 Accepting new patients
Allina Health System Current Accepting new patients
The Duluth Clinic, LTD. Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

6001 96th Ln N
Ste 250
Brooklyn Park, MN 55445

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

6525 France Ave S
Ste 200
Minneapolis, MN 55435
Phone (952) 848-8890

7500 France Ave S
Minneapolis, MN 55435
Phone (952) 835-1311

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

2855 Campus Dr
Ste 650
Plymouth, MN 55441
Phone (763) 270-3400

3366 Oakdale Ave N
Ste 303
Robbinsdale, MN 55422
Phone (763) 529-6454

360 Sherman St
Ste 450
Saint Paul, MN 55102
Phone (651) 641-7100

6025 Lake Rd
Ste 200
Woodbury, MN 55125

Interoperability endpoints

  • Direct secure messaging: jason.kemberling.1@20581.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20581/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 31

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1518997840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554353400",
            "telephone_number": "952-927-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554353400",
            "telephone_number": "952-927-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMBERLING",
        "first_name": "J KARL",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "45758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "916481200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34426200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.